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Contact Information

CYNTHIA ARCHER
2121 LAKE AVE
FORT WAYNE, IN46805-5100
 Phone: 260-426-5431
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
Indicates primary specialty

NPI Profile & details for CYNTHIA ARCHER · (Female)

NPI # 1396444352
Status Active
Credentials
Entity Individual
Enumeration date 02/28/2023
Last updated 02/28/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 28103796A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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